Individual provider Active NPI

Jennifer Perdue, M.S.N.

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1083890719
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000012993 Issued in TN
Practice address
105 Glen Oak Blvd
Suite 204
Hendersonville, TN 37075-6424
Phone
(615) 264-7015
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000012993 TN Primary

Addresses

Primary practice location

105 Glen Oak Blvd
Suite 204
Hendersonville, TN 37075-6424

Mailing address

105 Glen Oak Blvd
Suite 204
Hendersonville, TN 37075-6424
Phone (615) 264-7015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220408001678 TN Order and Referring Only - Nurse Practitioner 9133289374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000012993TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Barney Smith, M.D. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1083890719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GLEN OAK BLVD",
            "address_2": "SUITE 204",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756424",
            "telephone_number": "615-264-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GLEN OAK BLVD",
            "address_2": "SUITE 204",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756424",
            "telephone_number": "615-264-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "JENNIFER",
        "name_prefix": "Miss",
        "credential": "M.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000012993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.